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Individual

CHRYSTAL MAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15 EASTSIDE SCHOOL RD, BELEN, NM 87002
(505) 966-2200
Mailing address
906 CRENSHAW CT, RIO COMMUNITIES, NM 87002-5921

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN73369
NM

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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